Frozen Shoulder Treatment
What is Frozen Shoulder
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint. It typically develops gradually and worsens over time, limiting the range of motion of the shoulder. The condition can last from months to years and often goes through three stages: freezing, frozen, and thawing.
Signs and Symptoms of Frozen Shoulder
Common signs and symptoms of frozen shoulder include:
– Gradual onset of pain in the shoulder, especially with movement.
– Stiffness and decreased range of motion.
– Difficulty performing daily activities.
– Pain that worsens at night.
– Pain may reduce in the frozen stage but stiffness remains
Diagnosis of Frozen Shoulder
Diagnosis of frozen shoulder is typically based on medical history, physical examination, and imaging studies:
– Physical examination to assess pain and range of motion.
– Imaging studies such as X-rays, MRI, or ultrasound to rule out other conditions.
– Special tests like the Apley scratch test and passive external rotation assessment.
Differential Diagnosis (DD) of Frozen Shoulder
Conditions to consider in differential diagnosis include:
– Rotator cuff tears
– Shoulder impingement syndrome
– Osteoarthritis
– Cervical radiculopathy
– Bursitis
– Neurological conditions affecting the shoulder
Treatment Options for Frozen Shoulder
Treatment for frozen shoulder includes both non-surgical and surgical approaches:
– Non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief.
– Physical therapy to improve range of motion.
– Corticosteroid injections to reduce inflammation.
– In severe cases, surgical options like shoulder manipulation or arthroscopic release may be considered.
Physiotherapy Treatment for Frozen Shoulder
Physical therapy is a cornerstone of treatment for frozen shoulder:
– Gentle stretching exercises to maintain range of motion.
– Joint mobilization techniques to reduce stiffness.
– Heat and cold therapy to manage pain and inflammation.
– Graded exercises to progressively improve function.
– Studies support a combination of manual therapy and therapeutic exercises for effective management.
Exercises for Frozen Shoulder
Examples of exercises for frozen shoulder:
– Pendulum exercises: Lean forward and let your arm sway gently in circles.
– Cross-body stretch: Use your good arm to lift your affected arm and bring it across your body.
– Towel stretch: Hold a towel behind your back and gently stretch the shoulder.
– Finger walk: Using your fingers to walk up a wall to improve shoulder flexion.